NW - Potential Strike

Submit Request

Ultrasound Sonographer High Risk OB - Allied

Requirements:

BLS
FMF certification
ARDMS
Proficient in High Risk OB Fetal Examination and Procedures
NT certification (preferred)

-- please complete this form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

Yes

Do you have ARDMS certification?*

Yes

What is your ARDMS number?*

List any other certification you have:*

What specialties do you float to?*

Do you have the COVID Vaccination?*

No - Requesting Exemption

Yes - Vaccinated

Yes - Vaccinated with Booster

Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?*

Yes

Can you work a Day shift?*

Yes

Can you work a Mid shift?*

Yes

Can you work a Night shift?*

Yes

What is your Primary Shift preference?*

Day

Mid

Night

100% Flexible

Do you have an active Oregon state RN License?*

Yes

What is your RN license # and expiration date?*

How many years experience as a Sonographer do you have?*

How many years experience do you have in High Risk OB?*

How many years Echo experience do you have?*

Have you worked as a Sonographer in the past year?*

Yes

What Facility have you worked as a Sonographer most recently?*

Which other types of Ultrasounds are you experienced in?*

Can you perform cardiac echo's?*

Yes

Can you perform General, OB or both ultrasounds?*

Yes

Can you perform TEE?*

Yes

Do you have Pediatric experience?*

Yes

Do you have neonatal experience?*

Yes

Do you have structural heart services experience?*

Yes

Which specialty are you most comfortable with?*

Can you utilize PACS (picture archiving and communications system) with accuracy?*

Yes

Are you experienced in vascular studies, are you RVT certified?*

Yes

Do you have experience with any of the following equipment?*

None

GE D656PLUS

GE Discovery 630 (SPECT)

GE Discovery 640 (SPECT/CT)

GE Discovery IQ (PET/CT)

GE Lunar Prodigy

GE OEC Elite

GE OEC Elite Miniview

GE Optima XR 220

GE P600FP

GE Pristina 3D

GE Revolution

GE Revolution EVO

GE Signa Artist

Hologic Insight

Medtronic O-arm

OEC 6600

OEC Elite CFD 31

Philips MD

Siemens MammoTEST

Toshiba Aplio 500

Ziehm Vision R

List any equipment you have experience with not listed above:*

Please supply an Emergency Contact name and phone number:*